Individual ProviderGlenda GroganOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address850 Hungerford Dr, Rockville, MD 20850-1718(240) 740-3000PECOS EnrollmentBased on the most recent information from CMS, provider Glenda Grogan does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1982162764Provider TypeIndividualFull NameGrogan, GlendaCredentialOTR/LGenderFemaleSole ProprietorNoEnumeration Date3/11/2019Last Updated3/11/2019Contact InformationPractice LocationPractice Address850 Hungerford Dr, Rockville, MD 20850-1718Phone(240) 740-3000FaxUnlisted FaxMailing LocationMailing Address850 Hungerford Dr, Rockville, MD 20850-1718PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense02202Maryland